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NEW QUESTION # 38
Care managers at Bloomington Caregivers call patients after they are discharged from a hospital to ask a series of questions, which the care manager enters into Health Cloud. The patient is then automatically assigned a personalized care plan based on the answers they provided. Which two capabilities should a consultant leverage together to fulfil this requirement?
Answer: B,C
Explanation:
Discovery Framework conducts structured post-discharge intake assessments, which trigger and auto-populate personalized care plans in Integrated Care Management. Discovery Framework provides reusable assessment questions, versioned question sets, conditional branching, scoring, response capture, and OmniStudio-based assessment experiences. Integrated Care Management structures care plans around reusable problems, goals, interventions, assessments, and care-team activities so care coordination can be standardized and personalized. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle.
The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Integrated Care Management; Discovery Framework) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Discovery Framework; Care Plan
NEW QUESTION # 39
Bloomington Caregivers currently has the organization-wide default controlling patient access set to Private. A new respiratory therapist is being added to support a patient at Bloomington Caregivers, and the therapist needs access to the patient's data.
How should an administrator grant access to the respiratory therapist using out-of-the-box Health Cloud features?
Answer: C
Explanation:
When organization-wide default access to patient data is set to Private, Care Team functionality in Health Cloud is the standard, out-of-the-box method to manage individual access to patient records.
Step-by-Step Reference:
Health Cloud uses Care Teams to manage access to patient records.
Extract:
"Add care team members (users, contacts, or person accounts) to the patient's care team and assign appropriate access (Read or Read/Write) to patient records." (Source: Administer Health Cloud - Manage Care Teams) Administrators can specify the access level (Read or Read/Write) for each care team member, allowing for precise control as per role requirements.
Extract:
"Assign record access levels for care team members when adding them to a patient's care team. This is especially important when the OWD is set to Private." (Source: Administer Health Cloud - Care Team Access) This ensures compliance and proper segmentation of data, as required by healthcare regulations.
NEW QUESTION # 40
A consultant is working with an insurance provider to set up prior authorizations in Health Cloud. The provider requires a display of preauthorization outcomes from its external system which manages the end-to- end prior authorization process. Which solution is appropriate to meet this use case?
Answer: A
Explanation:
In Health Cloud Utilization Management, Care Request (parent) and Care Request Item (child line items) represent prior authorization and preauthorization requests and outcomes. Utilization Management structures care requests, authorization review, medical-necessity determination, concurrent review, and related payer- provider approval workflows. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Care Preauth and Care Preauth Item) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Utilization Management
NEW QUESTION # 41
Bloomington Caregivers needs to easily view all of the complex associations between patients, personal relationships, healthcare practitioners, other people, and organizations in healthcare. Which Health Cloud feature should a consultant leverage to meet this requirement?
Answer: D
Explanation:
Actionable Relationship Center (ARC) provides an interactive graph visualization of complex, multi-level relationships between patients, practitioners, caregivers, households, and facilities. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Actionable Relationship Center) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Agentforce Health architecture and implementation
NEW QUESTION # 42
A provider is looking to implement Utilization Management in Health Cloud and submit and track prior authorizations. Which two capabilities should a consultant customize to achieve this?
Answer: A,D
Explanation:
Care requests leverage Case Support Processes for lifecycle milestones, and MuleSoft Direct provides out-of- the-box electronic Prior Authorization (ePA) connectivity with payers. Utilization Management structures care requests, authorization review, medical-necessity determination, concurrent review, and related payer- provider approval workflows. From an implementation perspective, the configuration should use delivered Health Cloud and Salesforce mechanisms first, preserving standard relationships, security enforcement, and upgrade compatibility while limiting custom code to cases where declarative capabilities are insufficient. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Create a new Support Process to match the customer ' s process steps.; Customize the Service Request object.) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Implement - Utilization Management
NEW QUESTION # 43
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